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Researchers from Virginia Commonwealth University Massey Cancer Center and the VCU Institute of Molecular Medicinehave discovered a mechanism by which glioblastoma multiforme (GBM), the most common form of brain cancer, promotes the loss of function or death of neurons, a process known as neurodegeneration. The findings could lead to new therapies that suppress neurodegeneration caused by GBM and, potentially, a variety of other neurodegenerative diseases.

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The study, recently published in the journal Cancer Research, was led by Paul B. Fisher, M.Ph., Ph.D., Thelma Newmeyer Corman Endowed Chair in Oncology Research and co-program leader of Cancer Molecular Genetics at VCU Massey, professor and chair of the Department of Human and Molecular Genetics in the VCU School of Medicine and director of the VCU Institute of Molecular Medicine.The research revealed that the oncogene (a gene with the ability to cause cancer) astrocyte elevated gene (AEG)-1 promotes neurodegeneration by increasing glutamate toxicity to neurons. Glutamates play an important role in the transmission of signals between neurons and are important for learning and memory. On the other hand, glutamates can build up in the synapses, or spaces between neurons, and lead to neuron death through overstimulation, a process known as excitoxicity.

This study is the first of its kind in that it provides a direct mechanistic link between GBM, neurodegeneration and glutamate transport and explains a process by which GBM, through expression of the AEG-1 oncogene, can provoke the death of neurons. AEG-1 was originally cloned in Fisher's laboratory and is overexpressed in more than 90 percent of all brain tumors.

"Gliomas are the most common brain tumor and are the second-leading cause of cancer death among adults 20 to 39 years old," says Fisher. "In highlighting the importance of AEG-1 in brain cancer development, progression and neurodegeneration, we have identified a new target for inhibiting both of these processes through therapeutic intervention."

Fisher's team demonstrated that AEG-1 negatively correlates with the expression of excitatory amino acid transporter 2 (EEAT2), the primary glutamate transporter in glial cells (which surround neurons and provide support for them and insulation between them) found in the brain and spinal cord. EEAT2 is essential for maintaining appropriate levels of glutamate in synapses and failure to regulate the glutamate level results in excitoxicity. The researchers also showed that AEG-1 inhibits expression of EEAT2 during transcription, the process by which genes are expressed in the nucleus of cells, through several mechanisms that lead to excitoxicity due to excessive glutamate. This relationship between AEG-1 expression and neurotoxicity was demonstrated using GBM patient samples.

"Understanding glutamate transport is very important for a variety of neurodegenerative diseases, including glioma-induced neurodegeneration, amyotrophic lateral sclerosis (ALS), Huntington's disease, Alzheimer's, epilepsy, brain ischemia and more," says Fisher. "Our lab was the first to clone the EEAT2 promoter, and we plan to use it to screen for small molecules, or drugs, capable of regulating extracellular glutamate transport and preventing neurodegeneration."

Moving forward, Fisher and his team will work to construct advanced animal models to further study the role of AEG-1 and glutamate in brain development and function. Once created, these models will also help test the drugs identified in the small molecule screening process. The ultimate goal is to use this research to develop treatments for neurodegeneration caused by GBM and other diseases.

Fisher collaborated on this study with Keetae Kim, Ph.D., Timothy P. Kegelman, M.D., Ph.D. student, Rupesh Dash, Ph.D., Swadesh K. Das, Ph.D., Luni Emdad, M.B.B.S., Ph.D., Eric L. Howlett, Ph.D., Zhao Zhong Su, Ph.D., and Devanand Sarkar, M.B.B.S., Ph.D., from VCU Massey Cancer Center, the Department of Human and Molecular Genetics at the VCU School of Medicine and the VCU Institute of Molecular Medicine; Seok-Geun Lee, Ph.D., from the Cancer Preventive Material Development Research Center at the College of Oriental Medicine in Seoul, Republic of Korea; and Dong-chul Kang, Ph.D., from the Ilsong Institute of Life Science at Hallym University in Chuncheon, Gangwon, Republic of Korea.

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